Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $3.75 / $3.91	Facility		$1.65	$3.75	$3.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.65 / $3.91	Professional		$1.33	$1.65	$3.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $80.00 / $80.00	Facility		$2.23	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $2.60 / $18.60	Professional		$1.52	$2.60	$18.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Facility		$2.08	$2.08	$2.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.77 / $2.08	Professional		$1.77	$1.77	$2.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $2.54 / $6.56	Facility		$1.36	$2.54	$6.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $2.54 / $4.94	Professional		$1.36	$2.54	$4.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $60.00	Professional		$2.54	$2.54	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.54 / $2.79	Facility		$2.29	$2.54	$2.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.85 / $4.96	Facility		$2.23	$2.85	$4.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $2.48	Professional		$2.11	$2.11	$2.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $2.48 / $2.48	Facility		$2.42	$2.48	$2.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.79 / $2.79	Professional		$1.85	$2.79	$2.79
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1.17 / $1.54	Facility		$0.02	$1.17	$1.54
United Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.76 / $2.23	Professional		$1.17	$1.76	$2.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.16 / $2.16	Professional		$1.41	$2.16	$2.16